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18Th Annual USJF National Kata Conference • August 2-4, 2018 • Honolulu, Hawaii

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18Th Annual USJF National Kata Conference • August 2-4, 2018 • Honolulu, Hawaii 18th Annual USJF National Kata Conference • August 2-4, 2018 • Honolulu, Hawaii 18th Annual USJF National Kata Conference August 2 - 4, 2018 • Honolulu, Hawaii Sponsored by the USJF Kata Committee and the Judo Black Belt Association of Hawaii USJF Sanction # 18-08-06 Conference website: http://www.2018usjfkataconference.com/ The United States Judo Federation (USJF) Kata Development Committee and the Judo Black Belt Association of Hawaii invite you to experience a rare opportunity to learn all 7 kata in Hawaii: Chief Clinician Eiko Shepherd, 8th Dan USA International Coach USA World Master Level Instructor USA Kata Judge (National Class A – All 7 Kata) USJF Kata Chariperson – Kata Development National Youth Kata Coordinator Former Shiai Competitor Originally from the Kodokan, Tokyo, Japan Photo by: Brenda Stretch Shepherd Sensei will be assisted by: Wilina Monar, 4th Dan – Head Sensei, Soko Joshi Judo Club; Over 20 years instruction under Master Keiko Fukuda Leeanne Oue, 2nd Dan – USJF Kata Committee Secretary, World Masters Gold Medalist in Nage-no-Kata, World Masters Bronze Medalist in Ju-no-Kata, Pan American Gold Medalist in Goshin Jutsu, Pan American Silver Medalist in Ju-no-Kata 18th Annual USJF National Kata Conference • August 2 – 4, 2018 • Honolulu, HI USJF Sanction #18-08-06 Conference Information Kata Conference Dates August 2, 3, 4 (Thursday – Saturday) Conference Venue Ala Wai Golf Course Ballroom 404 Kapahulu Avenue Honolulu, HI 96815 Conference Website http://www.2018usjfkataconference.com/ Kata to be Covered Nage-no-Kata, Katame-no Kata, Ju-no-Kata, Kime-no-Kata, Goshin-Jutsu, Koshiki-no- Kata, Itsutsu-no-Kata Kata Conference Registration Fees Register by 6/30 Family Discount Register 7/1 and on 3-day Conference $150 $125 $180 2-day Conference $125 N/A $150 1-day Conference $70 N/A $100 Youth 10-16 $40 per day N/A $50 per day Registrations must be received by mail by 7/30/18. No walk-in registration. Hotel Information Aston Waikiki Sunset 229 Paoakalani Street Honolulu, HI 96815 Toll free registration: 1-855-534-9011 (Daily 7am – 5 pm Hawaii Standard Time) Group rate: $175/night + tax (must book by 6/30/18) Kitchen, 1 Bedroom with double beds plus sofa bed in living room Group name: 2018 USJF National Kata Conference Contact Information For registration: Rodney Nakayama / (808) 629-7534 / [email protected] For all other matters: Gary Hashiro / (808) 543-7767 / [email protected] Conference T-shirt information to follow later. 18th Annual USJF National Kata Conference • August 2 – 4, 2018 • Honolulu, HI USJF Sanction #18-08-06 Registration Form To qualify for Pre-registration, form and payment must be received by 6/30. Name_________________________________________________ Phone________________________ Address_____________________________________________________________________________ City____________________________________________ State_________ Zip___________________ E-mail__________________________________________ Dojo________________________________ Belt color/Rank_____________________________ Card: USJF, USA Judo, USJA (circle one) Card#______________________ Exp. date_____________ You must present a current card before participating If assistance/accommodation is needed (check appropriate item): Vision Loss/Blindness ________Hearing Loss/Deafness ________Other: ____________________ Please specify the type of assistance/accommodation requested or name of person assisting:____________________________________________________________________________ Emergency Contact/Relationship________________________________ Phone ________________ Please check the appropriate line: Pre-reg (thru 6/30) After 6/30 ___ 3-day conference $150 $180 ___ 2-day conference (check days attending) $125 $150 ___Thu___Fri___Sat ___ 1-day conference (check day attending) $70 $100 ___Thu___Fri___Sat ___ Youth ages 10-16 (check days attending) $40/day $50/day ___Thu___Fri___Sat Send registration to: JBBAH 2018 USJF National Kata Conference P.O. Box 22411 Honolulu, HI 96823-2411 Make checks payable to: JBBAH 18th Annual USJF National Kata Conference • August 2 – 4, 2018 • Honolulu, HI Daily Schedule (Schedule of events tentative and subject to change) August 2, 3, 4, 2018 Thursday, August 2 Day 1 8:00 AM – 9:00 AM Registration and Check in 9:00 AM – 9:30 AM Opening Ceremony 9:30 AM – 12:00 PM Ju no Kata Sensei Monar/Sensei Oue 12:00 PM – 1:30 PM Lunch Break 1:30 PM – 4:00 PM Kime no Kata Sensei Shepherd 4:00 PM End of Day 1 Friday, August 3 Day 2 9:00 AM – 12:00 PM Goshin Jutsu Sensei Shepherd 12:00 PM – 1:30 PM Lunch Break 1:30 PM – 2:00 PM Rejuvenation practice Sensei Shepherd 2:00 PM – 4:00 PM Katame no Kata Sensei Monar/Sensei Oue 4:00 PM End of Day 2 Saturday, August 4 Day 3 9:00 AM – 12:00 PM Nage No Kata Sensei Shepherd 12:00 PM – 1:30 PM Lunch Break 1:30 PM – 4:00 PM Itsutsu no Kata/Koshiki no Kata Sensei Shepherd/Sensei Monar 4:00 PM – 4:30 PM Conference Closing Ceremony WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities (“Activity”) of the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Judo Black Belt Association of Hawaii, Inc., Hawaii Boys & Girls Club Judo, Boys & Girls Club of Hawaii, and City and County of Honolulu, I agree: 1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand the rules governing the sport of Judo. 2. I further acknowledge that prior to participating, I will inspect the mats, equipment, facilities, competition pools or divisions, and the elimination or scoring system to be used, and if I believe anything is unsafe or beyond my capability, I will immediately advise my coach, supervisor, and/or a tournament official of such conditions and refuse to participate. 3. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or disease, including permanent disability or death, and severe social and economic losses due not only to my own actions, inactions or negligence, but also to the actions, inactions, or negligence of others, the rules of the sport of Judo, or conditions of the premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time. 4. Knowing the risks involved in the sport of Judo, I assume all such risks and accept personal responsibility for the damages following such injury, illness, disease, permanent disability, or death. 5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Judo Black Belt Association of Hawaii, Inc., Hawaii Boys & Girls Club Judo, Boys & Girls Club of Hawaii, and City and County of Honolulu, together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, legal guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used in conducting the event, all of whom are hereinafter referred to as "Releasees", from any and all litigation expenses, attorney fees, loss, liability, damage or costs on account of injury, illness, disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law. I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE WILL. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENT/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT. __________________________________ ______________________________ _________________ Participant Participant’s Signature Date FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release, as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the minor child’s participation in these programs as provided above, even if arising from their negligence, to the fullest extent permitted by law. I have instructed the minor participant as to the above warnings and conditions and their ramifications. __________________________________ ______________________________ _________________ Parent/Legal Guardian Parent/Legal Guardian’s Signature Date Form 506 V6.0.0, 090818 .
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